Provider Demographics
NPI:1730933110
Name:PITTSBURGH COUNSELING PRACTICE, LLC
Entity type:Organization
Organization Name:PITTSBURGH COUNSELING PRACTICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPOSKOSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-380-6009
Mailing Address - Street 1:4328 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1496
Mailing Address - Country:US
Mailing Address - Phone:412-380-6009
Mailing Address - Fax:412-380-6009
Practice Address - Street 1:4328 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1496
Practice Address - Country:US
Practice Address - Phone:412-380-6009
Practice Address - Fax:412-380-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty